1982, 07-22 Permit: 82A-6324 Addition to ResidencePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
N . Sl4 a.nAS
BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
3
OWNER
t-2A`f �42 �s✓ .
ADDRESS
1�]
141
CONTRACTOR
ry
4. A * DDRESS
DESIGNER
5' ADDRESS
PHONE
Q'�4 -bi31
PARCEL NUMBER /S N 1/2 0-E -6 •' .C,j' a)('C, 1.1•Q.,t`
BLIC £� 1%2r:I
ZZ&S
l�Tarv�S
ZIP
Actual Set Backs in Feet
Tacks
(South
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
Lei pl EW ❑ ALT. 'Aa (AD'N.
LJ BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size of Parcel
(x20 1C-40
Type Const.
Occupancy
t� 3
Valuation
4, C�32
Main Floor Upper Floors
�S
East (West V2-31
Zone Classification
A6 . eCA A:cc ,f.)
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ito8
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
No. Laths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
"7) I TLt71^,:, i ‘---e-' t OE IVC,G
E
ES
Enum. Dist.
Location (Area)
VALUATION SOURC GAS ELECTRIC WATER SEWER
9. -41032 UTILOITI I�t�TuG
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Ownership
Public ❑ Private
USE CODE
DATE OF APPLICATIO
SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. alth
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
in•
echnicia
Ai‘
SPE'CIAL CONDITIONS:
FEES COLLECTED
Single $
Building 67 • '0
y Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $ &t•00
PERMIT NUMBER
8Z 63`4
02* *61.00
*61,006
A *000
6323
0.7 =22 -82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 '7 -'.�' 7'8 2,
DATE ISSUED
632.42
*61.000 -
PERMIT NO. TOTAL
1;4.L,
• Li Al 0..
LA 1,1
Tic-r- E
R
OT PL.A
-1'
9
1'Di T
tfro,;
1:01‘.-9,11
.1
z ZX 3 E
•
30x 4o
tol
. .3
L A 1,..) N.) 5-
N r 4
-Y4LE L 4-54:3-, Z2 <